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Contact Information

DEACONESS ANESTHESIA SERVICES LLC
5501 N PORTLAND AVE
OKLAHOMA CITY, OK73112-2074
 Phone: 660-826-5960
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Anesthesiology

207L00000X 79 Physician/Addiction Medicine
 

Nurse Anesthetist, Certified Registered

367500000X 43 Certified Registered Nurse Anesthetist (CRNA)
Indicates primary specialty

NPI Profile & details for DEACONESS ANESTHESIA SERVICES LLC · (Female)

NPI Number 1912432048
Status Active
Credentials
Entity Individual
Enumeration date 04/26/2017
Last updated 02/21/2020 - About 6 years ago
Sole proprietor 1 Not specified
Identifiers
  • OK Medicaid 200705720A
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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